HomeMy WebLinkAbout2004-P07765 - mechanical CI�Y OF R N PERMIT
� � � Permit Number:
E2750 Kelley Parkway- PO Box 66 P07765
Crystal Bay, Minnesota 55323 Pe�mit Type: Mechanical Pernuts �
(952) 249-4600 Date Issued: 7�30/2004
SITE ADDRESS: 2280 Shadowood Dr
L.ong Lake,MN 55356
P I D: 27-118-23-32-0015
DESCRIPTION:
Proposed Use: Residential
Permit Class: General
Permit Type: Mechanical Permits Pernut Sub-type(s): Heating Systems
DEfAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Permit Fee: $ 35.00 Valuation• $ 1,500.00
State Surcharge Fee: $ 0.75
Misc.Fee: $ 1.50
TOTAL FEE: $ 37.25
APPLICANT' St.Marie Sheet Metal Inc. QWNER: Stephen&Sharon Coleman
� 7940 Spring Lake Road 2280 Shadowood Dr
Spring Lake Park,MN 55432 : L;ong Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
��y'Yf� �l�ri, �7u-o��
APPLICANT PERMITEE SIGNATURE SSUED BY SIGNATURE
Couies: 1-File(SiQnitures Required), 1-Apnlicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
�
�
CITY OF ORONO APPLICATION FOR MECHA1vICAL PERMIT
Box 66 (2750 Kelley Parkway)
Crystal Bay, MN 55323
GENERAL INFORMATION
1. You may apply for mechanical permits by mail or in person at the City offices.Applications
will be reviewed and a pernut will be issued within two working days.
2. Pernut cards will be sent by return mail after a review is completed.PERMITS ARE NOT
VALID UNTIL YOU RECENE A PERMTT.WORK MUST NOT BEGIN UNTIL THE
PERNIIT CARD IS POSTED ON THE JOB SITE.
3. Mechanical Desisns-Complete calculations,details and specifications are required for each
heating,venrilation,humidificarion-dehumidificarion,and air conditioning installarion
including heat loss/heat gain calculation,design temperatures,equipment ratings and
identification as to type,manufacturer and model.Data shall be presented on form provided.
Identification of and specifications for water heating equipment shall also be provided.
� 4. When any new construction or remodeling is involved,a separate building permit must be
obtained.
5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code
requirements.
6. All work must be inspected(rough-in and final).Call(952)249-4600. 24-hour notice
��'�-
7. House Heating Test Record must be submitted before final.
Instructions
Complete all items on this application. Compute the permit fee. Sign and date the
certification.INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you
have questions, call(952)249-4600.
Please check one: ✓ New Addition Repair Replace
Residential Commercial
JOB SITE: 2280 Shadowwood Road �p: 55323
Owner's Name: Bob Holmlund Construction Phone Number: (612) 386-6393
Mailing Address: City:�stal Zip: 55427
Contractor's Name: St. Marie Sheet Met Phone Number: (763) 784-5241
Mailing Address: 7940 Spring Lake Park � City: Sprinq Lake P�Zip: 55432
SYSTEM DESCRIPTION
HEATING SYSTEMS
Quantity: 1
Make: Reznor
Model:
Fue�: Natural Ga;
Flue Size:
4"
lnput s'rt1s: 45,000
Output BTUs:
CFM:
COOLING SYSTEMS
Quantity:
Make:
Model:
Tons:
H.Power
FIREPLACES
Gas factory fireplace
Wood buming factory fireplace with flue
Wood Stove
Wood stove with flue
Brand Name Model No.
VENTILATION
No. Kitchen E�aust duct recalculating cfrn
No. Bath Exhaust(must have duct outside) cfm
No. Other Fans: Locations cfin
FUEL STORAGE(MUST BE APPROVED BY FIRE MARSHAL)
Installation or Removal
Fuel oil: gallons underground inside or outside
LP Gas: gallons
Other Gas opening
PERMIT FEE CALCULATION(S)
2002 State Statute Yes This Section Applies
The replacement of a Residential fixture or appliance that meets all three of the following
requirements:
1) Does not require modification to electrical or gas service.
2) Has a total cost of$500.00 or less;excludins the cost of the fixture or appliance:
and
3) Is improved,installed or replaced by the homeowner or licensed contractor.
Skip next section; Cost of Permit $ 15.00
State Surchazge $ .50
Mail-In Fee $ 1.50
If above does not apply,follow guidelines below:
1. Contract Price* is.0125%of job with a Minimum Fee of($35.001
1,500.00 x.0125 $ 35.00
(contract price) (minimum$35.00)
2.State Surcharge. **Add the State Building Code Division a Minimum Fee of($.50)
1,500.00 x.0005 $ 0.75
(contract price) (minimum$.50)
3.Posta�e and HandlinE(Only mail-in applications) $ 1.50
4.TOTAL PERiVIIT FEE(Add lines 1-3 above) $ 37.25
•CONTRACT PRICE or JOB COST means the actual or es6mated dollaz amount charged for the permitted work
including materials,labor,profit,and other fixed costs.It is the amount to be chazged to the customer for the work
done.If any material,equipment,labor,or instailation is furnished by the owner,tenant or any other party the
reasonabie mazket value of such items must be added to the estimated cost or contract price for pernut fee purposes.In
the event that there is a dispute on the amount of the job cost,the Ciry may request the submission of a signed copy of
the actual contract.
••The STAT'E SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For
valuations over$1,000,000 cail the Department of Inspectional Services for the price.
T'he undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict
accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certities that
all statements made on this ap ic on ar plete,tru and co t. _
\
Applicant's Signature: � Date: � �
Approved By: Date:
Reset Form
2� f�e�" ✓
�AT TIME
CITY OF ORONO CALLED IN
INSPECTION N �177�� SCHEDULED -� �=�
PERMIT NO. COMPLETED
ADDRESS aoc,o v �-S �
OWNER CONTR. S'�I`YtQ,�Cp 5���
TELEPHONENO. ��3 ��7 Sc� � �
�
� DESCRIPTION �
� 01 FOOTING _.11�M HANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING ECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPIAINT
v 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
�
W
a
�
�
O
�
�
O
�
W
�
Q
�
Z
W
�
W
�
�
�
d
W� WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORflECT WORK,CALL FOR REINSPECTION TEMPORARY
� BEFORE CWERING
PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. � pHOTOTAKEN
INSPECTOR WFLL RETURN
❑STOP ORDER POSTED.CALI INSPECTOR �CITATION ISSUED
❑ INSPECTfON REQUIRED.CALL TO ARRANGE ACCESS.
Call for the� ext inspection 24 hours in advance. (g52) 249-46��
OwnerlCon site:
Inspector.
White Copyllnspector's F e Canary CopylSite Notice